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Recovery times quickest in the country for Royal Derby Hospital hip fracture patients

        6 September 2012

Patients undergoing hip fracture operations at the Royal Derby Hospital are recovering more quickly and remaining in hospital for the shortest period of time post-op than any other hospital in the whole country, a new report reveals.

The National Hip Fracture Database National Report 2012 – published by the British Geriatrics Society and the British Orthopaedic Association – covers April 2011-March 2012 and is a clinically-led audit of hip fracture care. It looks at six standards of care such as prompt admission to orthopaedic care, nursing care, surgery and falls to give a national overview and a hospital-by-hospital breakdown.

The report shows that Royal Derby Hospital hip fracture patients stay in hospital for 11.1 days on average, the lowest in the country and below the national of 15.7 days. In addition, it is the lowest average time compared to other hospitals in the East Midlands by some distance.

Hip fracture is a common, serious injury for older people that is likely to become more common as the population ages. Many hip fracture patients are already frail, and for them the injury poses the greatest risk of loss of independence.

The report – the most extensive in the world – documents types of cases, care and outcomes of almost 60,000 cases from 180 hospitals across the country and is aimed at improving the care and secondary prevention of hip fracture.

The Royal Derby Hospital is also the best performing trust in the East Midlands for patients undergoing surgery within 48 hours – 94.4% of patients compared with a regional average of 84.4%. This places the hospital in the top 10 in the country.

The number of patients admitted to ward within four hours of arriving at the emergency department is also very high – 75% of patients compared to a national average of just 52%.

Arthur Stephen, divisional medical director for surgical services at Derby Hospitals, said: “Ensuring we provide the best possible care for patients is at the heart of our success. It is very pleasing that this approaching is having such as positive effect on patient care.

“We treat approximately 500-550 patients with hip fractures per year. They are often frail, elderly, and with multiple medical problems. Treating them according to best practice guidelines can improve the outcome of the fracture, with faster recovery from surgery and fewer complications.  Hip fracture patients have been recognised in Derby as 'high priority' for many years, and the findings of this report reflect our continued progress towards 'gold standard' care.

“Hip fracture patients are a niche group of patients with both medical and surgical needs, and are therefore managed appropriately on a dedicated unit. Joint input into managing patients in this way between surgeons and physicians is the biggest key – they are much better placed to sort out multiple co-morbidities and provide the most appropriate care in the right place. 

“We also provide patients with prompt anaesthetic reviews and resuscitation in order to get them to theatre as soon as possible, operated on and mobilised afterwards more quickly to prevent further deterioration.”

The full report can be read here: http://www.nhfd.co.uk/003/hipfractureR.nsf/vwContent/2012ReportDownload?Opendocument?home

A comparison of the Royal Derby Hospital and other hospitals in the East Midlands can be found on page 73.


For further information, please contact:

Liz Smith

Communications Officer

Derby Hospitals NHS Foundation Trust


01332 785778